Violence and violent injuries are a serious threat to the health of children and youth in the United States. It is crucial that pediatricians define their role and develop the appropriate skills to address this threat effectively. From a clinical perspective, pediatricians should incorporate into their practices preventive education, screening for risk, and linkages to necessary intervention and follow-up services. In the clinical area, pediatricians should promote a healthy environment for all children in the family and the community; assess for high-risk situations and behaviors; respond to problems identified with appropriate treatment and referrals; provide violence-prevention counseling and screening early and continue it into adulthood; and maintain familiarity with the relevant and appropriate counseling and treatment services in communities. As advocates, pediatricians should become involved at the local and national levels to address key risk factors and assure adequacy of preventive and treatment programs. There are also educational and research needs central to the development of effective clinical strategies. Medical schools and pediatric residency programs should develop and institute appropriate curricula on prevention and management of youth violence; and practicing pediatricians should enhance their knowledge and competence in violence prevention and management through continuing medical education. 34 references and a copy of the report to the American Academy of Pediatrics Board of Directors from the Task Force on Violence